title: Complications following combined transrectal aspiration and core biopsy of the prostate.
abstract: Ultrasound guided biopsy of the prostate with fine needle (22G) as well as trucut needle (18G) was performed in 145 patients with a suspicion of prostate cancer. After three weeks all patients were interviewed about complications associated with the biopsy. Hematuria and/or hemospermia occurred in 2/3 of the patients. None of the hemorrhages was severe and all ceased spontaneously. E. coli infection of the urinary tract occurred in 9 cases (6.2%). Five of the infections caused high fever and necessitated hospital care with parenteral antibiotics for 1 to 8 days. The patients with infection had no signs of immunological defects by which they might have been identified before the biopsy. As a consequence of these observations we now use prophylactic antibiotics when core biopsy of the prostate is performed transrectally.
authors.affiliation: Department of Urology, Södersjukhuset, Stockholm.
authors.forename: O
authors.initials: O
authors.lastname: Gustafsson
authors.forename: U
authors.initials: U
authors.lastname: Norming
authors.forename: C R
authors.initials: CR
authors.lastname: Nyman
authors.forename: M
authors.initials: M
authors.lastname: Ohström
mesh_terms: D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods; D001769:Blood; D004927:Escherichia coli Infections / Q000453:epidemiology; D006417:Hematuria / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000473:pathology*; D013094:Spermatozoa; D013548:Sweden / Q000453:epidemiology; D014463:Ultrasonography; D014552:Urinary Tract Infections / Q000453:epidemiology